Skip to main content

Problem Differentiation

  • Chapter
Fundamentals of Family Medicine
  • 157 Accesses

Abstract

Health care problems in family practice are often both undifferentiated and beyond the boundaries of physical disease. Problem definition requires an initial broad categorization; for example, failure to appreciate that the patient’s reason for seeking help is anxiety about the nature of pain rather than its intensity may lead the physician down the wrong diagnostic path. Most of the common reasons for which patients consult physicians can be found among the following categories:1,2

  • Pain or malaise

  • Anxiety about the meaning of pain or other symptoms

  • Problems with living

  • The need to legitimate sick-role behavior

  • The prevention of disease

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. McWhinney IR: An approach to the integration of behavioral science and clinical medicine. N Engl Med 287: 284–287, 1972.

    Article  Google Scholar 

  2. McCormick JS: The Doctor: Father Figure or Plumber. London, Croom Helm, 1979.

    Google Scholar 

  3. Crombie DL: The diagnostic process. J Roy Coll Gen Pract 6: 579–589, 1963.

    CAS  Google Scholar 

  4. Crombie DL: Diagnostic methods of practitioners. Practitioner 191: 539–545, 1963.

    PubMed  CAS  Google Scholar 

  5. McWhinney IR: Problem solving and decision making in primary medical care. Proc Roy Soc Med 65: 934–938, 1972.

    PubMed  CAS  Google Scholar 

  6. Cartwright A: Patients and Their Doctors. London, Rout-Burr ledge and Kegan Paul, 1967.

    Google Scholar 

  7. Brown, GW, Ni Brolchain MN, Harris T: Social class and psychiatric disturbance among women in an urban population. Sociology 9: 252–254, 1975.

    Article  Google Scholar 

  8. Byrne PS, Long BEL: Doctors Talking to Patients. London, HMSO, 1976.

    Google Scholar 

  9. Royal College of General Practice: The future general practitioner: learning and teaching. London, Br Med J, 1972.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1983 Springer-Verlag New York Inc.

About this chapter

Cite this chapter

McCormick, J.S. (1983). Problem Differentiation. In: Taylor, R.B., Rosen, M.G., Jacott, W.E., Donatelle, E.P., Buckingham, J.L. (eds) Fundamentals of Family Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5433-1_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-5433-1_5

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-90705-5

  • Online ISBN: 978-1-4612-5433-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics